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health. 9th. She now has, added to the palpitation, pain of chest and side, and looks pale and debilitated^ though the pulse, skin and belly, are natural; a blister was applied to the chest; pills of antimony and digitalis were ordered, together with tinctures of hyoscyamus and camphorated opium, which remedies cleaned the tongue, and lessened the irritation so much, that on the 22nd I discontinued my visits.

On the 8th of November I was again summoned to her assistance, in consequence of her labouring under acute rheumatism, which affected the hands and fingers with great pain, swelling and redness, and there was, also, some slight pain of the knees and ankles, but neither swelling nor inflammation of the latter. A saline mixture, with pills of antimony and digitalis, again relieved her, and by the 13th she was again convalescent, and continued so until February the 8th, 1813, when the cough, coated tongue, and palpitation returned, the latter with more violence than I had before observed. The same medicines were ordered, and the same relief speedily and satisfactorily obtained; but, on the 11th, improvement not being progressive, six leeches were applied to the side. 13th. Pulse 120; palpitation no better; was bled to eight ounces, which blood was buffy, and showing that inflammatory action existed. 14th and 15th. Symptoms better; pulse 1 10; neither so full nor vibrating as on the 13th, and she was evidently under the influence of the digitalis, sleeping much. 16tli. Pulse 60, and palpitation scarcely perceptible; tongue clean; skin cool. 17th. Pulse 80; palpitation less; cough urgent, for which a blister was ordered, but not applied. 18th. Pulse 72; palpita-